Forensic Medicine

Fredrik Tamsen, Stina Ahlström, Ingemar Thiblin and Monika Horvath in the Forensic Medicine research group. Photo: Mikaela Näsström
The research of the Forensic Medicine research group consists of one PhD project and two projects carried out in collaboration with other faculties and another university.
The research conducted at the Forensic Medicine Unit, Department of Surgical Sciences, Uppsala University is carried out in three areas. One concerns the link between abuse of anabolic androgenic steroids and premature death. Another area is the etiology/pathogenesis of certain medical findings in infants that often form the basis of the conclusion that the child has been abused. The third area concerns how forensic assessments are valued and interpreted by the judiciary.
The research regarding anabolic androgenic steroids has resulted in more than 20 scientific publications and one review article and three doctoral theses
In an ongoing doctoral project, pathological changes linked to the abuse of anabolic androgenic steroids are mapped. The topic is studied based on forensic autopsy material and animal studies. To date, three publications have been made. The defense is planned for 2025.
The field of etiology/pathogenesis of certain findings in infants has been studied for approximately 10 years and has resulted in twelve publications, five of which are included in a doctoral thesis. Part of the project is based on epidemiological registers and medical records. Another part of the project is done in collaboration with prof. Svein Kleiven, Department of Neuronics, KTH and is based on injury simulation in biomechanical models, which includes validating the models using well-documented clinical cases.
The interface between forensic assessments and law is included as part of the work within The International Center for Evidence-Based Criminal Law (EB-CRIME), which is led by researchers at the Department of Law, Uppsala University.
Three levels are studied: 1) The strength of the product itself (how sure can one be that the assessment is correct?). 2) Is there variation between different forensic doctors regarding how to communicate the degree of certainty in the assessment? 3) Does the recipient (prosecutor, judge) perceive the forensic report in the way that the sender intends (attempts to convey)?
The first level overlaps with the research area of infant findings. The other two levels are studied using constructed cases and questionnaires. So far, studies dealing with how forensic doctors' judgments are affected by the existence of an alternative hypothesis (usually a course given by the suspect (alternative hypothesis) that deviates from what has been given by the plaintiff (hypothesis). Currently, a study aimed at judges is being conducted in collaboration with a law researcher, a researcher in cognitive psychology and a researcher in the field of digital forensics.
Collaboration partners
Ulf Högberg, Professor, KBH, Uppsala University
Moa Lidén, Ph.D. Law & Psychology, Law Faculty, Uppsala University & Department of Security and Crime Science, University College, London
Joakim Sundh, Ph.D. Department of Psychology, Uppsala University
Xiaogai Li, Assiciate professor, KTH
Svein Kleiven, professor, KTH
Group members
Publications
Part of Upsala Journal of Medical Sciences, 2024
- DOI for Recommended dosages of analgesic and sedative drugs in intensive care result in a low incidence of potentially toxic blood concentrations
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Alcohol consumers with liver pathology rarely display α-synuclein pathology
Part of Acta Neuropathologica, 2024
- DOI for Alcohol consumers with liver pathology rarely display α-synuclein pathology
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Part of Journal of Anatomy, p. 377-391, 2024
- DOI for Quantitative morphological analysis framework of infant cranial sutures and fontanelles based on CT images
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Part of Nutrients, 2024
- DOI for Protective Effects of the Food Supplement Flexovital in a Model of Cardiovascular-Kidney-Metabolic Syndrome in Mice
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Part of Acta Paediatrica, p. 1820-1821, 2023
Part of Journal of Forensic Sciences, p. 1084-1085, 2023
- DOI for Commentary on: Beer T, Backstrom B, Ottosson A, Rietz A, Michard J-F, Loisel J, et al. The utility of histology in assessing the cause of death in medico-legal autopsies in selected trauma deaths: Suspension-, immersion-, fire-, and traffic-related
- Download full text (pdf) of Commentary on: Beer T, Backstrom B, Ottosson A, Rietz A, Michard J-F, Loisel J, et al. The utility of histology in assessing the cause of death in medico-legal autopsies in selected trauma deaths: Suspension-, immersion-, fire-, and traffic-related
Part of International journal of legal medicine, p. 1077-1088, 2023
- DOI for Mummification in a forensic context: an observational study of taphonomic changes and the post-mortem interval in an indoor setting
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Paneth cell proteins DEFA6 and GUCA2A as tissue markers in necrotizing enterocolitis
Part of European Journal of Pediatrics, p. 2775-2784, 2023
- DOI for Paneth cell proteins DEFA6 and GUCA2A as tissue markers in necrotizing enterocolitis
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The role of alternative hypotheses in reducing bias in forensic medical experts' decision making
Part of Science & justice, p. 581-587, 2023
- DOI for The role of alternative hypotheses in reducing bias in forensic medical experts' decision making
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How do we know that infant abusive head trauma has occurred?
Part of Acta Paediatrica, p. 888-889, 2022
Part of Barnförhör, p. 151-170, Studentlitteratur AB, 2022
Part of Acta Paediatrica, p. 800-808, 2022
- DOI for Retinal haemorrhage in infants investigated for suspected maltreatment is strongly correlated with intracranial pathology.
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Mathematically optimal decisions in forensic age assessment
Part of International journal of legal medicine, p. 765-776, 2022
- DOI for Mathematically optimal decisions in forensic age assessment
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Cutaneous steam burns and steam inhalation injuries: a literature review and a case presentation
Part of European journal of plastic surgery, p. 881-896, 2022
- DOI for Cutaneous steam burns and steam inhalation injuries: a literature review and a case presentation
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Part of Beroendemedicin, Studentlitteratur AB, 2022
Oxycodone-related deaths in Sweden 2006-2018
Part of Drug And Alcohol Dependence, 2022
- DOI for Oxycodone-related deaths in Sweden 2006-2018
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Part of Hemodialysis International, p. 191-201, 2022
Part of European Heart Journal Open, 2022
- DOI for NT-proBNP and stem cell factor plasma concentrations are independently associated with cardiovascular outcomes in end-stage renal disease hemodialysis patients
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Part of Biomedicines, 2022
- DOI for Novel Biomarkers Detected by Proteomics Predict Death and Cardiovascular Events in Hemodialysis Patients
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Aetiologies and Epidemiology of Subdural Haematoma in Infancy
2021
Part of Forensic Science International, 2021
- DOI for Characteristics of post-mortem beta-hydroxybutyrate-positivet cases: A retrospective study on age, sex and BMI in 1407 forensic autopsies
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Rib fractures in infancy, case-series and register case-control study from Sweden
Part of Journal of Pediatric Endocrinology & Metabolism (JPEM), p. 363-372, 2021
- DOI for Rib fractures in infancy, case-series and register case-control study from Sweden
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Part of TOXICOLOGIE ANALYTIQUE ET CLINIQUE, p. 327-337, 2021
Association between homicide injury severity and benzodiazepine influence
Part of Forensic Sciences Research, p. 53-58, 2021
Criminal mutilation in Sweden from 1991 to 2017
Part of Journal of Forensic Sciences, p. 1788-1796, 2021
- DOI for Criminal mutilation in Sweden from 1991 to 2017
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Part of Health Policy, p. 807-813, 2021
- DOI for A model for evaluating the economic value of prevention programs for illicit use of anabolic androgenic steroids
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Part of Pediatric Neurology, p. 26-34, 2021
Part of International journal of legal medicine, p. 253-267, 2021
- DOI for Histological quantification of decomposed human livers: a potential aid for estimation of the post-mortem interval?
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Part of International journal of legal medicine, p. 223-233, 2021
- DOI for Microbial neoformation of volatiles: implications for the estimation of post-mortem interval in decomposed human remains in an indoor setting
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Methadone-related deaths among youth and young adults in Sweden 2006-15
Part of Addiction, p. 319-327, 2021
High Risk of Bias in a Systematic Review of Rib Fractures and Abuse by Paine et al (2019)
Part of Pediatric emergency care, 2020
- DOI for High Risk of Bias in a Systematic Review of Rib Fractures and Abuse by Paine et al (2019)
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Forensic taphonomy in an indoor setting: Implications for estimation of the post-mortem interval
2020
Part of Acta Paediatrica, p. 2040-2048, 2020
- DOI for Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures
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Part of PLOS ONE, 2020
- DOI for Medical findings and symptoms in infants exposed to witnessed or admitted abusive shaking: A nationwide registry study
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Part of BMC Musculoskeletal Disorders, 2020
- DOI for The epidemiology of infant shaft fractures of femur or humerus by incidence, birth, accidents, and other causes
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Part of Journal of Epidemiology, p. 276-277, 2020
- DOI for Do inter-country differences in the frequency of abusive head trauma reflect different proportions of overdiagnosis of abuse or true differences in abuse?
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Drug-related deaths: Statistics based on death certificates miss one-third of cases
Part of Scandinavian Journal of Public Health, p. 29-37, 2020
Part of Forensic Science International, p. 173-182, 2019
Homicide injury severity in association with the victim-offender relationship
Part of Forensic Science International, p. 151-156, 2019
2019
Part of Archives of Disease in Childhood, 2019
Part of Forensic Science International, p. 402-414, 2019
Quantifying Homicide Injuries: A Swedish Time Trend Study Using the Homicide Injury Scale
Part of Scandinavian Journal of Forensic Science, p. 20-25, 2019
- DOI for Quantifying Homicide Injuries: A Swedish Time Trend Study Using the Homicide Injury Scale
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Medical diagnoses among infants at entry in out-of-home care: A Swedish population-register study
Part of Health Science Reports, 2019
- DOI for Medical diagnoses among infants at entry in out-of-home care: A Swedish population-register study
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Preventable harm and child maltreatment diagnosis (eLetter)
Part of The BMJ, 2019
- DOI for Preventable harm and child maltreatment diagnosis (eLetter)
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Error rates for unvalidated medical age assessment procedures
Part of International journal of legal medicine, p. 613-623, 2019
Part of BMC Psychiatry, 2019
- DOI for Psychoactive substances in natural and unnatural deaths in Norway and Sweden: a study on victims of suicide and accidents compared with natural deaths in psychiatric patients
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Opioid-related deaths and previous care for drug use and pain relief in Sweden
Part of Drug And Alcohol Dependence, p. 253-259, 2019
- DOI for Opioid-related deaths and previous care for drug use and pain relief in Sweden
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Part of European Journal of Public Health, p. 641-646, 2018
Part of Acta Paediatrica, p. 1308-1309, 2018